Individual
MR. ASFAWOSSEN B ASFAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
809 82ND PARKWAY, GRAND STAND REGIONAL MEDICAL CENTER, MYRTLE BEACH, SC 29572
(843) 692-1750
(954) 851-1746
Mailing address
1613 N HARRISON PARKWAY, SUITE 200, MAILSTOP SH-9A, SUNRISE, FL 33323-2896
(954) 838-2371
(954) 851-1746
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
TL38364
SC
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
MD38364
SC
Other
Enumeration date
01/28/2011
Last updated
08/01/2025
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